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Periodontitis
has been identified as the sixth complication of diabetes1. Diabetes
has become a global epidemic. Its complications can have a significant impact
on quality of life, longevity, and public health costs. The presence of
diabetes might impair the prognosis of periodontal treatments due to its
negative influence on wound healing.
Periodontal
diseases are a group of inflammatory conditions resulting from
interaction between a
pathogenic bacterial biofilm and susceptible host’s
inflammatory response
eventually leading to the destruction of periodontal structures
and subsequent tooth
loss. Inflammation is an immunologic response involving blood vessels and blood
cells to local injury, infection, hypersensitivity, physical reaction, chemical
reaction, necrosis of tissues and emotional stress.
Scaling
is considered as the gold standard treatment for these conditions2.
As an adjunct to scaling many chemical and herbal formulations have been tried
and found to be efficacious in the past. Chemical preparations are known to
cause conditions such as drug resistance with reports of drug allergy along
with staining of teeth, and thus a shift toward the herbal remedies has been
seen in the near past and gaining popularity in present.
From the dawn of history man has sought to cure
diseases with use of medicinal plants. Ayurveda is believed to have developed
somewhere during the period 2800-500 B.C. In India, systematic work on
scientific lines of herbal medicines was organised by Sir R.M. Chopra. In the
field of dentistry few herbal medicines have been showing encouraging results.
Use of tannic acid have been advocated for the treatment of gingivitis. Use of
neem as datun has been advised for freshening the mouth.
G32TM is an ayurvedic preparation
marketed by ALARSIN. G32TM has been
described as having antiseptic, anti-inflammatory, astringent, styptic, anodyne
and other properties. G32TM, used in this study,
is one such ayurvedic preparation. It is available for local
application, in an easily crushable tablet form and as gum paint. The main
ingredients in this ayurvedic preparation include Bakul, Chok, Katha,
Laving, Fatakdi, etc.
Constituents of G32TM
Bakul (Mimosops
elangi) - 80 mg.
Chok (Calcium
Carbonate) - 75 mg.
Katho (Acacia
catechu) - 40 mg.
Laving (Myrtus
caryophyllus) - 20 mg.
Chikani Sopari (Areca
catechu) - 20 mg.
Fatakadi (Alumen)
- 20 mg.
Mayafal (Quercus
infectoria) - 20 mg.
Elaichi (Elettaria
cardamomum) - 10 mg.
Sonageru (Silicate
of Alumina and Iron Oxide) - 10 mg.
Jiru (Carum
carvi) - 10 mg.
Majith (Rubia
cordifolia) - 10 mg.
Pashanbed (Saxifrua
ligulata) - 10 mg.
Vavding (Embelia ribes) - 10 mg.
Pipala ni Lakh (Ficus religiosa)
- 10 mg.
Samudrafin (Os sapiae) - 10 mg.
Vajradanti (Barleria
prioitis) - 10 mg.
Taj (Cinnamimum
cassia) - 5 mg.
Mari (Piper
nigrum) - 5 mg.
Sajikhar (Sodium
carbonate impure) - 5 mg.
Kulinjan (Alpinia
chinensis) - 5 mg.
Pipar (Piper
longum) - 5 mg.
Kapur (Camphora
officinarum) - 5 mg.
Kuth (Uncaria
gambier) - 5 mg.
G32TM can be used for gum massage, dentrifice,
rinse and gargle. G32TM is found to be an effective and a
safe drug in gingivitis, acute or chronic, localised
or generalised, and even when associated with painful
teeth and bleeding gums.6
AIM
OF STUDY:
To introduce a natural
adjunct that effectively reduces inflammation in Diabetic patients with Chronic
Periodontitis
OBJECTIVES
OF THE STUDY:
1. To
evaluate the efficacy of G32TM gum paint and tablets as an adjunct
to Scaling in Diabetic patients with Chronic.
2. To
compare the efficacy of G32TM gum paint with tablets in Diabetic
patients with Chronic Periodontitis post scaling Periodontitis
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